Exploring Differences Between Adolescents and Adults With Perinatal Depression—Data From the Expanding Care for Perinatal Women With Depression Trial in Nigeria

Bibliographic Data

ID15522039
AuthorsBibilola D Oladeji, Bibilola Oladeji (0000-0001-5856-2100, University of Ibadan, corresponding author), Toyin Bello (0000-0002-3121-3290, University of Ibadan), Lola Kola (0000-0003-0678-796X, University of Ibadan), Ricardo Araya (0000-0002-0420-5148, King's College London), Phyllis Zelkowitz (0000-0002-1965-5731, Jewish General Hospital), Oye Gureje (0000-0003-0094-5947, University of Ibadan)
Year2019
Volume10
Pages761-761
Publication date2019-10-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00761
PMID31708817
OpenAlexW2982068713
LanguageEN
Citations received5
References cited33

Background: Depression is common among women in the perinatal period. Although pregnancy and motherhood among adolescents are global public health issues, little is known about how adolescents differ from adults in the occurrence and correlates of perinatal depression. Methods: Data were derived from a cluster randomized controlled trial of psychosocial interventions for perinatal depression in primary maternal care in Nigeria (the Expanding Care for Perinatal Women with Depression trial). Adolescents and adult participants recruited during pregnancy and followed up till 6-month postpartum were compared: proportions with depression [screening positive to depression on the Edinburgh Postnatal Depression Scale (score ≥ 12) and meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria using the short form of the Composite International Diagnostic Interview]; adjustment and attitude to pregnancy and motherhood (using the Maternal Adjustment and Maternal Attitudes scale); and parenting skills (measured on Infant-Toddler version of the Home Inventory for Measurement of the Environment). Infant and fetal growth were assessed by measures of weight and head circumference at birth and upper mid-upper arm circumference (MUAC) at 6 months. Results: Of 8,580 adults screened, 6.9% had major depression compared with 17.7% of 772 screened adolescents (p Conclusion: Perinatal depression is more common and is associated with poorer maternal attitudes and parenting skills in adolescents compared with those in adults. Evidence from this exploratory study suggests that in improving outcomes in infants of adolescent mothers with perinatal depression, depression treatment may need to be supplemented with specific approaches to improve parenting skills

Antenatal depression · Anxiety · Birth weight · Depression (economics · Depressive symptoms · Edinburgh Postnatal Depression Scale · Gestational age · Obstetrics · Postpartum depression · Pregnancy · Psychiatry · Psychological intervention · Psychosocial · Adolescent and Pediatric Healthcare · Child and Adolescent Psychosocial and Emotional Development · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Pediatrics